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Doctor patient-insurance 040213

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Page 1: Doctor patient-insurance 040213

PATIENT

DOCTOR INSURER

PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY

Page 2: Doctor patient-insurance 040213

PATIENT

DOCTOR INSURER

PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY

Page 3: Doctor patient-insurance 040213

PATIENT

DOCTOR INSURER

PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY

MANAGINGMY HEALTH• Medical History• Visits• Lab Results• Medications• Immunizations

HEALTH & WELLNESS

CONDITION MANAGEMENT

EMERGENCY SERVICES

HEALTH & WELLNESS• Immunization• Screening tests• Physical/Dental/Vision checkup• Diet / Exercise program• Mental health

CONDITION MANAGEMENT• Illness: treatment + follow-up• Chronic disease: medication + measurement• Pregnancy: treatment + follow-up• Elective surgery: treatment + follow-up• Mental health: treatment + follow-up

EMERGENCY SERVICES• Accident response• Ambulance• Emergency room

Page 4: Doctor patient-insurance 040213

PATIENT

DOCTOR INSURER

PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY

MANAGINGMY HEALTH• Medical History• Visits• Lab Results• Medications• Immunizations

HEALTH & WELLNESS

CONDITION MANAGEMENT

EMERGENCY SERVICES

HEALTH & WELLNESS• Immunization• Screening tests• Physical/Dental/Vision checkup• Diet / Exercise program• Mental health

CONDITION MANAGEMENT• Illness: treatment + follow-up• Chronic disease: medication + measurement• Pregnancy: treatment + follow-up• Elective surgery: treatment + follow-up• Mental health: treatment + follow-up

EMERGENCY SERVICES• Accident response• Ambulance• Emergency room

PATIENT ADVOCACYGROUPS• Research• Support• Policy• Cure

PERSONALBIOMETRICS• Family & Friends• Websites• Mobile Apps

HEALTH INFORMATION• Books & Magazines• Websites• Mobile Apps

PHARMACEUTICAL

MEDICALDEVICES

MEDICAL PRODUCTS & SERVICES COMPANIES• Medical Devices• Drug Treatment• Lab Testing• Medical Imaging

Health & Human Services

State HealthLaws

Food & Drug Administration

Page 5: Doctor patient-insurance 040213

PATIENT

DOCTOR INSURER

PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY

MANAGINGMY HEALTH• Medical History• Visits• Lab Results• Medications• Immunizations

HEALTH & WELLNESS

CONDITION MANAGEMENT

EMERGENCY SERVICES

HEALTH & WELLNESS• Immunization• Screening tests• Physical/Dental/Vision checkup• Diet / Exercise program• Mental health

CONDITION MANAGEMENT• Illness: treatment + follow-up• Chronic disease: medication + measurement• Pregnancy: treatment + follow-up• Elective surgery: treatment + follow-up• Mental health: treatment + follow-up

EMERGENCY SERVICES• Accident response• Ambulance• Emergency room

PATIENT ADVOCACYGROUPS• Research• Support• Policy• Cure

PERSONALBIOMETRICS• Family & Friends• Websites• Mobile Apps

HEALTH INFORMATION• Books & Magazines• Websites• Mobile Apps

PHARMACEUTICAL

MEDICALDEVICES

MEDICAL PRODUCTS & SERVICES COMPANIES• Medical Devices• Drug Treatment• Lab Testing• Medical Imaging

Health & Human Services

State HealthLaws

Food & Drug Administration

MANAGINGMY INSURANCE• Payments• Deductable• Max Out of Pocket• Reimbursements• FSA

MEDICAREMEDICAID

EMPLOYER

BENEFITSMANAGEMENT

BENEFITS PACKAGE• Health• Disability• Life• FSA

Page 6: Doctor patient-insurance 040213

PATIENT

DOCTOR INSURER

PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY

MANAGINGMY HEALTH• Medical History• Visits• Lab Results• Medications• Immunizations

HEALTH & WELLNESS

CONDITION MANAGEMENT

EMERGENCY SERVICES

HEALTH & WELLNESS• Immunization• Screening tests• Physical/Dental/Vision checkup• Diet / Exercise program• Mental health

CONDITION MANAGEMENT• Illness: treatment + follow-up• Chronic disease: medication + measurement• Pregnancy: treatment + follow-up• Elective surgery: treatment + follow-up• Mental health: treatment + follow-up

EMERGENCY SERVICES• Accident response• Ambulance• Emergency room

PATIENT ADVOCACYGROUPS• Research• Support• Policy• Cure

PERSONALBIOMETRICS• Family & Friends• Websites• Mobile Apps

HEALTH INFORMATION• Books & Magazines• Websites• Mobile Apps

PHARMACEUTICAL

MEDICALDEVICES

MEDICAL PRODUCTS & SERVICES COMPANIES• Medical Devices• Drug Treatment• Lab Testing• Medical Imaging

Health & Human Services

State HealthLaws

Food & Drug Administration

MANAGINGMY INSURANCE• Payments• Deductable• Max Out of Pocket• Reimbursements• FSA

MEDICAREMEDICAID

EMPLOYER

BENEFITSMANAGEMENT

BENEFITS PACKAGE• Health• Disability• Life• FSA

TREATINGPATIENTS

PHARMACYSTAGES OF CARE• Determine Diagnosis• Determine Care Plan• Activate Care Plan• Maintain Care Plan• Refer-Follow Patient

Page 7: Doctor patient-insurance 040213

PATIENT

DOCTOR INSURER

PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY

MANAGINGMY HEALTH• Medical History• Visits• Lab Results• Medications• Immunizations

HEALTH & WELLNESS

CONDITION MANAGEMENT

EMERGENCY SERVICES

HEALTH & WELLNESS• Immunization• Screening tests• Physical/Dental/Vision checkup• Diet / Exercise program• Mental health

CONDITION MANAGEMENT• Illness: treatment + follow-up• Chronic disease: medication + measurement• Pregnancy: treatment + follow-up• Elective surgery: treatment + follow-up• Mental health: treatment + follow-up

EMERGENCY SERVICES• Accident response• Ambulance• Emergency room

PATIENT ADVOCACYGROUPS• Research• Support• Policy• Cure

PERSONALBIOMETRICS• Family & Friends• Websites• Mobile Apps

HEALTH INFORMATION• Books & Magazines• Websites• Mobile Apps

PHARMACEUTICAL

MEDICALDEVICES

MEDICAL PRODUCTS & SERVICES COMPANIES• Medical Devices• Drug Treatment• Lab Testing• Medical Imaging

Health & Human Services

State HealthLaws

Food & Drug Administration

MANAGINGMY INSURANCE• Payments• Deductable• Max Out of Pocket• Reimbursements• FSA

MEDICAREMEDICAID

EMPLOYER

BENEFITSMANAGEMENT

BENEFITS PACKAGE• Health• Disability• Life• FSA

TREATINGPATIENTS

PHARMACYSTAGES OF CARE• Determine Diagnosis• Determine Care Plan• Activate Care Plan• Maintain Care Plan• Refer-Follow Patient

PLACES TO PRACTICE

CLINICALOUT-PATIENT

HOSPITALIN-PATIENT

LABIMAGING

• Clinical Staff• Admin Staff

• Clinical Staff• Admin Staff

SERVICE PRESENTED TO PAYER• Patient’s Insurance Contract • Diagnostic Code / Billing Code• Right to Bill / Referral

DIAGNOSTICSERVICES

Page 8: Doctor patient-insurance 040213

PATIENT

DOCTOR INSURER

PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY

MANAGINGMY HEALTH• Medical History• Visits• Lab Results• Medications• Immunizations

HEALTH & WELLNESS

CONDITION MANAGEMENT

EMERGENCY SERVICES

HEALTH & WELLNESS• Immunization• Screening tests• Physical/Dental/Vision checkup• Diet / Exercise program• Mental health

CONDITION MANAGEMENT• Illness: treatment + follow-up• Chronic disease: medication + measurement• Pregnancy: treatment + follow-up• Elective surgery: treatment + follow-up• Mental health: treatment + follow-up

EMERGENCY SERVICES• Accident response• Ambulance• Emergency room

PATIENT ADVOCACYGROUPS• Research• Support• Policy• Cure

PERSONALBIOMETRICS• Family & Friends• Websites• Mobile Apps

HEALTH INFORMATION• Books & Magazines• Websites• Mobile Apps

PHARMACEUTICAL

MEDICALDEVICES

MEDICAL PRODUCTS & SERVICES COMPANIES• Medical Devices• Drug Treatment• Lab Testing• Medical Imaging

Health & Human Services

State HealthLaws

Food & Drug Administration

MANAGINGMY INSURANCE• Payments• Deductable• Max Out of Pocket• Reimbursements• FSA

MEDICAREMEDICAID

EMPLOYER

BENEFITSMANAGEMENT

BENEFITS PACKAGE• Health• Disability• Life• FSA

TREATINGPATIENTS

PHARMACYSTAGES OF CARE• Determine Diagnosis• Determine Care Plan• Activate Care Plan• Maintain Care Plan• Refer-Follow Patient

PLACES TO PRACTICE

CLINICALOUT-PATIENT

HOSPITALIN-PATIENT

LABIMAGING

• Clinical Staff• Admin Staff

• Clinical Staff• Admin Staff

SERVICE PRESENTED TO PAYER• Patient’s Insurance Contract • Diagnostic Code / Billing Code• Right to Bill / Referral

DIAGNOSTICSERVICES

METHODS TO PRACTICE

PROF/SPECIALTYSOCIETIES

ACADEMICMEDICAL CTRS

MEDICAL RESEARCH• Clinical Trials• Published Research• Conferences

Page 9: Doctor patient-insurance 040213

PATIENT

DOCTOR INSURER

PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY

MANAGINGMY HEALTH• Medical History• Visits• Lab Results• Medications• Immunizations

HEALTH & WELLNESS

CONDITION MANAGEMENT

EMERGENCY SERVICES

HEALTH & WELLNESS• Immunization• Screening tests• Physical/Dental/Vision checkup• Diet / Exercise program• Mental health

CONDITION MANAGEMENT• Illness: treatment + follow-up• Chronic disease: medication + measurement• Pregnancy: treatment + follow-up• Elective surgery: treatment + follow-up• Mental health: treatment + follow-up

EMERGENCY SERVICES• Accident response• Ambulance• Emergency room

PATIENT ADVOCACYGROUPS• Research• Support• Policy• Cure

PERSONALBIOMETRICS• Family & Friends• Websites• Mobile Apps

HEALTH INFORMATION• Books & Magazines• Websites• Mobile Apps

PHARMACEUTICAL

MEDICALDEVICES

MEDICAL PRODUCTS & SERVICES COMPANIES• Medical Devices• Drug Treatment• Lab Testing• Medical Imaging

Health & Human Services

State HealthLaws

Food & Drug Administration

MANAGINGMY INSURANCE• Payments• Deductable• Max Out of Pocket• Reimbursements• FSA

MEDICAREMEDICAID

EMPLOYER

BENEFITSMANAGEMENT

BENEFITS PACKAGE• Health• Disability• Life• FSA

TREATINGPATIENTS

PHARMACYSTAGES OF CARE• Determine Diagnosis• Determine Care Plan• Activate Care Plan• Maintain Care Plan• Refer-Follow Patient

PLACES TO PRACTICE

CLINICALOUT-PATIENT

HOSPITALIN-PATIENT

LABIMAGING

• Clinical Staff• Admin Staff

• Clinical Staff• Admin Staff

SERVICE PRESENTED TO PAYER• Patient’s Insurance Contract • Diagnostic Code / Billing Code• Right to Bill / Referral

DIAGNOSTICSERVICES

METHODS TO PRACTICE

PROF/SPECIALTYSOCIETIES

ACADEMICMEDICAL CTRS

MEDICAL RESEARCH• Clinical Trials• Published Research• Conferences

CLAIMSPORTAL

PAYMENTPORTAL

BENEFITSPORTAL

SELF-MONITORINGAPPLICATIONS

BEHAVIOR-CHANGEAPPLICATIONS

PATIENT MANAGEMENT• Lab / Imaging• Medication• Medical History• Schedule

PRACTICE MANAGEMENT• Diagnosis Code• Billing Code• Time In/Out• Supplies

POINT OF CARE• Clincial decision support

Page 10: Doctor patient-insurance 040213

PATIENT

DOCTOR INSURER

PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY

MANAGINGMY HEALTH• Medical History• Visits• Lab Results• Medications• Immunizations

HEALTH & WELLNESS

CONDITION MANAGEMENT

EMERGENCY SERVICES

HEALTH & WELLNESS• Immunization• Screening tests• Physical/Dental/Vision checkup• Diet / Exercise program• Mental health

CONDITION MANAGEMENT• Illness: treatment + follow-up• Chronic disease: medication + measurement• Pregnancy: treatment + follow-up• Elective surgery: treatment + follow-up• Mental health: treatment + follow-up

EMERGENCY SERVICES• Accident response• Ambulance• Emergency room

PATIENT ADVOCACYGROUPS• Research• Support• Policy• Cure

PERSONALBIOMETRICS• Family & Friends• Websites• Mobile Apps

HEALTH INFORMATION• Books & Magazines• Websites• Mobile Apps

PHARMACEUTICAL

MEDICALDEVICES

MEDICAL PRODUCTS & SERVICES COMPANIES• Medical Devices• Drug Treatment• Lab Testing• Medical Imaging

Health & Human Services

State HealthLaws

Food & Drug Administration

MANAGINGMY INSURANCE• Payments• Deductable• Max Out of Pocket• Reimbursements• FSA

MEDICAREMEDICAID

EMPLOYER

BENEFITSMANAGEMENT

BENEFITS PACKAGE• Health• Disability• Life• FSA

TREATINGPATIENTS

PHARMACYSTAGES OF CARE• Determine Diagnosis• Determine Care Plan• Activate Care Plan• Maintain Care Plan• Refer-Follow Patient

PLACES TO PRACTICE

CLINICALOUT-PATIENT

HOSPITALIN-PATIENT

LABIMAGING

• Clinical Staff• Admin Staff

• Clinical Staff• Admin Staff

SERVICE PRESENTED TO PAYER• Patient’s Insurance Contract • Diagnostic Code / Billing Code• Right to Bill / Referral

DIAGNOSTICSERVICES

METHODS TO PRACTICE

PROF/SPECIALTYSOCIETIES

ACADEMICMEDICAL CTRS

MEDICAL RESEARCH• Clinical Trials• Published Research• Conferences

CLAIMSPORTAL

PAYMENTPORTAL

BENEFITSPORTAL

SELF-MONITORINGAPPLICATIONS

BEHAVIOR-CHANGEAPPLICATIONS

PATIENT MANAGEMENT• Lab / Imaging• Medication• Medical History• Schedule

PRACTICE MANAGEMENT• Diagnosis Code• Billing Code• Time In/Out• Supplies

POINT OF CARE• Clincial decision support

ElectronicHealth

Records

CMSClaims

InsuranceClaims

All PayerClaims

PersonnelRecords

Benefits

ClaimsPayments

Clinical Data Quality Data

PersonnelHealth Records

Biometrics

GenomeRecords

MedicalText


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